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Hi, I have a small, and many would say nice dilemma. I'm currently a band 6 Podiatrist (mostly in biomechanics clinics) in the NHS in the UK and have been given the opportunity to train as a band 7 by a supportive team lead.

This seems to involve a lot of work (case studies/assignments up to 22000 words in total) as well as clinical observations (my being observed and vice versa). I am working 50% of my timetable in these band 7 clinics.

The thought of the extra money is nice but the work load and responsibility that comes with it seems much larger, obviously. My colleagues seem to be permanently shattered as am I when I do the band 7 clinics and I actually enjoy my band 6 work.

I don't need the extra money and in fact the difference at the top of both bands will 'only' total £250 in my pocket a month for what seems like a lot more stress and responsibility. Professionally it seems an obvious choice but personally I'm not so sure.

Has anyone else had a similar dilemma? What did you do? Were you thought less of by your line manager at work if you decided to stay at band 6, especially if this progression was expected of you? Did you become a band 7 and not look back?

Probably you have more job security as a highly specialised Band 7. Certainly, if you wish for progression in your clinical career it's the way to go. As far as the pay differential is concerned, I suggest that you take this up with your professional body or trade union. Ultimately, it is really a matter for you but as a word to the wise don't let yourself be railroaded into highly specialised work on your current band 6.